Over the past century, Americans have benefited from wave upon wave of medical innovation and advancement—with life expectancy climbing from about 60 years in 1924 to 76.4 today. But throughout that period, and despite all that progress, what Americans are most likely to die from has remained constant. Today, just as 100 years ago, cardiovascular disease is the country’s number-one killer. According to the Centers for Disease Control and Prevention, someone dies of heart disease every 33 seconds. In 2021, cardiovascular disease claimed the lives of 695,000 people in the U.S., and while such deaths have come down dramatically in the past century thanks to medications and health system improvements, they’ve begun trending upward in recent years—in line rising risk factors like obesity and diabetes.
Despite its long and deadly reign, many Americans underappreciate the threat of heart disease: Less than half of the population realize it’s the leading cause of death, according to a recent survey from the American Heart Association. Meanwhile, 38% of the U.S. population that has high blood pressure is unaware of their at-risk condition, and 20% of heart attack survivors—those who experienced a “silent” event—don’t realize they’ve had one. Heart disease costs the country an estimated $240 billion every year.
In other words, heart health is important—which is why, for the past two decades, the 50 Top Cardiovascular Hospitals study and Premier’s PINC AI 50 Top Cardiovascular Hospitals list has drawn upon public data sources to evaluate and benchmark the level of cardiovascular care across the country. This year’s ranking looked at 940 U.S. hospitals and assessed their performance based on metrics including clinical outcomes (inpatient mortality and complications as well as readmission and 30-day mortality rates), operational efficiency (average length and cost of stay), and patient experience.
This year’s top-rated hospitals performed better than their peers on all 23 measures. For example, for patients undergoing a coronary artery bypass graft, or a CABG—a procedure in which a blood vessel is attached to the coronary artery to bypass a blockage—at list-making hospitals, inpatient mortality was 50% lower and complications 32% fewer; patients at top hospitals also experienced a shorter stay for a CABG by a margin of a day and had a lower-cost procedure ($40,115, compared to $50,061) than those at peer institutions.
To be considered, hospitals had to provide all forms of cardiovascular care, including open heart surgery; for the ranking, hospitals were classified by bed size and teaching status into three groups: community hospitals, and teaching hospitals with and without cardiovascular residency programs.
As in other years, hospitals do not apply for the award, and winners do not pay to market this honor. For the rest of the field, though, these top performers provide a level of cardiovascular care to work towards.
Top community hospitals
1. St. David’s Medical Center
Location: Austin
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 7
Website
2. Ascension St. Vincent Hospital – Indianapolis
Location: Indianapolis
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 12
Website
3. St. David’s Round Rock Medical Center
Location: Round Rock, Texas
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 1
Website
4. Mercy Health – Lourdes Hospital
Location: Paducah, Ky.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 2
Website
5. Genesis Hospital
Location: Zanesville, Ohio
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 2
Website
6. Henrico Doctors’ Hospital
Location: Richmond, Va.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 2
Website
7. Ogden Regional Medical Center
Location: Ogden, Utah
Acute myocardial infarction (AMI) rank: ★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 2
Website
8. Parkview Regional Medical Center
Location: Fort Wayne
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 1
Website
9. Advocate Good Shepherd Hospital
Location: Barrington, Ill.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★
Percutaneous coronary intervention (PCI) rank: ★★★★
Total number of years on 50 Top list: 4
Website
10. Thibodaux Regional Health System
Location: Thibodaux, La.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★
Coronary artery bypass graft (CABG) rank: ★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 3
Website
Top teaching hospitals with a cardiovascular residency program
1. Baylor Scott & White The Heart Hospital – Plano
Location: Plano, Texas
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 3
Website
2. Methodist Hospital
Location: San Antonio
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 1
Website
3. Intermountain Medical Center
Location: Murray, Utah
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 4
Website
4. Froedtert Hospital
Location: Milwaukee
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 4
Website
5. Baylor Scott & White Medical Center – Temple
Location: Temple, Texas
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★
Total number of years on 50 Top list: 15
Website
6. UNC REX Hospital
Location: Raleigh
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★
Total number of years on 50 Top list: 7
Website
7. Medical City Dallas
Location: Dallas
Acute myocardial infarction (AMI) rank: ★★★★
Heart failure (HF) rank: ★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 2
Website
8. Penn Presbyterian Medical Center
Location: Philadelphia
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 10
Website
9. OhioHealth Riverside Methodist Hospital
Location: Columbus
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 13
Website
10. Lancaster General Hospital
Location: Lancaster, Pa.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 3
Website
11. Northwestern Medicine Central DuPage Hospital
Location: Winfield, Ill.
Acute myocardial infarction (AMI) rank: ★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★
Total number of years on 50 Top list: 4
Website
12. Mayo Clinic – Rochester
Location: Rochester, Minn.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★
Total number of years on 50 Top list: 13
Website
13. MercyOne Des Moines Medical Center
Location: Des Moines
Acute myocardial infarction (AMI) rank: ★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 9
Website
14. Mayo Clinic – Florida
Location: Jacksonville
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★
Percutaneous coronary intervention (PCI) rank: ★★★★
Total number of years on 50 Top list: 5
Website
15. The Christ Hospital Health Network
Location: Cincinnati
Acute myocardial infarction (AMI) rank: ★★★★
Heart failure (HF) rank: ★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 16
Website
16. Morristown Medical Center
Location: Morristown, N.J.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 4
Website
17. HCA Florida Bayonet Point Hospital
Location: Hudson, Fla.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 6
Website
18. Corpus Christi Medical Center
Location: Corpus Christi, Texas
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 3
Website
19. Atrium Health Wake Forest Baptist
Location: Winston-Salem, N.C.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★
Percutaneous coronary intervention (PCI) rank: ★★
Total number of years on 50 Top list: 3
Website
20. Rush University Medical Center
Location: Chicago
Acute myocardial infarction (AMI) rank: ★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 3
Website
Top teaching hospitals without a cardiovascular residency program
1. CHI Memorial Hospital Chattanooga
Location: Chattanooga
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 6
Website
2. HCA Florida Ocala Hospital
Location: Ocala, Fla.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 8
Website
3. Parkridge Medical Center
Location: Chattanooga
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 1
Website
4. Grand Strand Medical Center
Location: Myrtle Beach, S.C.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 6
Website
5. Piedmont Athens Regional Medical Center
Location: Athens, Ga.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 4
Website
6. Bronson Methodist Hospital
Location: Kalamazoo, Mich.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 5
Website
7. TriStar Centennial Medical Center
Location: Nashville
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 5
Website
8. Chester County Hospital
Location: West Chester, Pa.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 3
Website
9. Swedish Medical Center
Location: Englewood, Colo.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★
Total number of years on 50 Top list: 1
Website
10. AdventHealth Redmond
Location: Rome, Ga.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★
Total number of years on 50 Top list: 4
Website
11. Ascension Sacred Heart Pensacola
Location: Pensacola, Fla.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★
Total number of years on 50 Top list: 7
Website
12. Trident Medical Center
Location: Charleston, S.C.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 1
Website
13. Chippenham Hospital
Location: Richmond, Va.
Acute myocardial infarction (AMI) rank: ★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 7
Website
14. Mission Hospital
Location: Asheville, N.C.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 16
Website
15. Methodist Hospital Stone Oak
Location: San Antonio
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★
Coronary artery bypass graft (CABG) rank: ★★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 1
Website
16. The Medical Center of Aurora
Location: Aurora, Colo.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 2
Website
17. St. Anthony Hospital
Location: Lakewood, Colo.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 2
Website
18. Lee Memorial Hospital/HealthPark Medical Center
Location: Fort Myers, Fla.
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 11
Website
19. McKay-Dee Hospital
Location: Ogden, Utah
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★★
Coronary artery bypass graft (CABG) rank: ★★★
Percutaneous coronary intervention (PCI) rank: ★★★
Total number of years on 50 Top list: 2
Website
20. Eastern Idaho Regional Medical Center
Location: Idaho Falls, Idaho
Acute myocardial infarction (AMI) rank: ★★★★★
Heart failure (HF) rank: ★★★★
Coronary artery bypass graft (CABG) rank: ★★★★
Percutaneous coronary intervention (PCI) rank: ★★★★★
Total number of years on 50 Top list: 3
Website
50 Top Cardiovascular Hospitals methodology
Learn about the methodology for the 50 Top Cardiovascular Hospitals list here.
Fortune partnered with PINC AI on the 2024 ranking of the 100 Top Hospitals and the 50 Top Cardiovascular Hospitals in the U.S. Learn more about the lists and see which community and teaching hospitals ranked high among their peers in 2023 below.
PREMIER, PINC AI, 100 TOP HOSPITALS, 15 TOP HEALTH SYSTEMS, and 50 TOP CARDIOVASCULAR HOSPITALS are registered/unregistered trademarks of Premier Healthcare Alliance, L.P. in the United States.
